摘要
目的:探讨不同吸烟剂量对全瓷冠修复后基牙菌斑指数和龈沟液的影响。方法:选取近两年在我院口腔修复科就诊的35-40岁,需进行全瓷单冠修复的患者60例为受试对象,均为男性,根据吸烟情况分成不吸烟组,少量吸烟组(≤10支/d)和大量吸烟组(>10支/d)。全瓷冠修复前1周常规牙周洁治,分别在修复前以及修复后1个月,2个月检测基牙菌斑指数,龈沟液的分泌量以及碱性磷酸酶和肿瘤坏死因子α水平。结果:与修复前相比,不吸烟组修复后1个月,2个月多数指标无显著变化,少量吸烟组和大量吸烟组修复后1个月,2个月多数指标都有所上升。与不吸烟组相比,少量吸烟组和大量吸烟组修复后1个月,2个月多数指标也有所上升,并且与吸烟剂量正相关。结论:吸烟可使全瓷冠修复后基牙菌斑指数升高,龈沟液分泌量增加,相关炎性因子表达增高。
Objective：To investigate the effect of smoking on plaque index and gingival crevicular fluid of abutment teeth restored by all-ceramic crown.Method：60 male patients indicated for all-ceramic crown restoration were selected from the 35-40 year old patients treated in our department during the past two years,and were randomly divided into no-smoking team,small amount smoking team（≤10 cigarette/day） and large amount smoking team（〉10 cigarette/day）.All the patients were treated with all-ceramic crowns after periodontal treatment.The plaque index,gross secretory volume of gingival crevicular fluid,ALP and TNF-α levels before and 1 month and 2 month after treatment were recorded.Results：Compared with pretreatment,most of the parameters in the no-smoking team did not significantly change during 1 month and 2 months after treatment,while the parameters increased significantly in the smoking team during the 1 month and 2 month after treatment.Compared with the no-smoking team,most of the parameters during the 1 month and 2 month after treatment in the smoking team increased significantly in a dose-dependent manner.Conclusion：Smoking promotes plaque index,gingival crevicular fluid secretion,and ALP,TNF-α levels in gingival crevicular fluid after restored by all-ceramic crown.
出处
《口腔颌面修复学杂志》
2015年第3期149-152,共4页
Chinese Journal of Prosthodontics
关键词
吸烟
全瓷冠
菌斑指数
龈沟液
smoking
all-ceramic crown
plaque index
gingival crevicular fluid
